Adapting Design Thinking for Medical IoT: A Scoping Review of Iterative Frameworks in Geriatric Healthcare
DOI:
https://doi.org/10.35568/healthcare.v7i2.6649Keywords:
Aged; Design Thinking; geriatric care; Medical IoT; Internet of ThingsAbstract
The aging global population, projected to reach 22% by 2050, necessitates innovative healthcare technologies tailored to elderly users. While Medical Internet of Things (IoT) systems offer promising solutions for geriatric care, their development faces significant challenges including usability limitations and cybersecurity vulnerabilities. This scoping review examines how Design Thinking (DT) frameworks can be adapted to address the unique requirements of elderly-centric embedded systems development. A systematic scoping review following Joanna Briggs Institute methodology was conducted using SCOPUS database searches. Boolean operators combined keywords related to Design Thinking, elderly and Internet of Things. Inclusion criteria encompassed peer-reviewed studies (2015-2025) and grey literature addressing iterative design modifications for elderly populations, excluding non-English publications and systems without embedded sensor components. From 106 initial records, 10 studies met inclusion criteria after systematic screening. Key modifications to traditional DT phases included deeper user involvement, slower pacing, real-world validation, inclusive engagement strategies, co-design methodologies, and enhanced ethical considerations throughout development processes. Modified DT frameworks for elderly IoT development require prioritizing inclusive, context-aware, and iterative processes. Co-design approaches, real-world validation, and ongoing stakeholder support are essential for creating accessible, accepted, and effective solutions that address the complex physiological, cognitive, and socio-technical challenges faced by aging populations
Downloads
References
Aledhari, M., Razzak, R., Qolomany, B., Al-Fuqaha, A., & Saeed, F. (2022). Biomedical IoT: Enabling Technologies, Architectural Elements, Challenges, and Future Directions. IEEE Access, 10, 31306–31339. https://doi.org/10.1109/ACCESS.2022.3159235
Cammisuli, D. M., Taurisano, P., Schuller, B. W., & Qian, K. (2024). Editorial: Digital health and virtual health care for adults and older adults: innovative technological solutions for diagnosis, management, and rehabilitation. Frontiers in Medicine, 11. https://doi.org/10.3389/fmed.2024.1417069
Cristiano, A., Musteata, S., De Silvestri, S., Bellandi, V., Ceravolo, P., Cesari, M., Azzolino, D., Sanna, A., & Trojaniello, D. (2022). Older Adults’ and Clinicians’ Perspectives on a Smart Health Platform for the Aging Population: Design and Evaluation Study. JMIR Aging, 5. https://doi.org/10.2196/29623
Darley, A., & Carroll, Á. (2022). Conducting Co-Design with Older People in a Digital Setting: Methodological Reflections and Recommendations. International Journal of Integrated Care, 22. https://doi.org/10.5334/ijic.6546
Dorri, S., Zabolinezhad, H., & Sattari, M. (2023). The Application of Internet of Things for the Elderly Health Safety: A Systematic Review. Advanced Biomedical Research, 12(1). https://doi.org/10.4103/abr.abr_197_22
Konstantinidis, E., Billis, A., Mouzakidis, C., Zilidou, V., Antoniou, P., & Bamidis, P. (2016). Design, Implementation, and Wide Pilot Deployment of FitForAll: An Easy to use Exergaming Platform Improving Physical Fitness and Life Quality of Senior Citizens. IEEE Journal of Biomedical and Health Informatics, 20, 189–200. https://doi.org/10.1109/JBHI.2014.2378814
Menghi, R., Papetti, A., & Germani, M. (2019). Product Service Platform to improve care systems for elderly living at home. Health Policy and Technology, 8, 393–401. https://doi.org/10.1016/j.hlpt.2019.10.004
Moral, C., Pérez-Rodríguez, R., Villalba-Mora, E., Barrio-Cortes, J., Ferré, X., & Rodríguez-Mañas, L. (2023). Integrated health system to assess and manage frailty in community dwelling: Co-design and usability evaluation. Digital Health, 9. https://doi.org/10.1177/20552076231181229
Pepping, R., Van Aken, M., Vos, R., Numans, M., Van Den Berg, J., Kroon, I., & Van Nieuwkoop, C. (2023). Using Design Thinking for Co-Creating an Integrated Care Pathway Including Hospital at Home for Older Adults with an Acute Moderate-Severe Respiratory Infection in the Netherlands. International Journal of Integrated Care, 23. https://doi.org/10.5334/ijic.6991
Peters, M. D. J., Marnie, C., Tricco, A. C., Pollock, D., Munn, Z., Alexander, L., McInerney, P., Godfrey, C. M., & Khalil, H. (2020). Updated methodological guidance for the conduct of scoping reviews. JBI Evidence Synthesis, 18(10), 2119–2126. https://doi.org/10.11124/JBIES-20-00167
Reis, A., Barroso, I., Monteiro, M., Khanal, S., Rodrigues, V., Filipe, V., Paredes, H., & Barroso, J. (2017). Designing Autonomous Systems Interactions with Elderly People. 603–611. https://doi.org/10.1007/978-3-319-58700-4_49
Sahu, D., Pradhan, B., Khasnobish, A., Verma, S., Kim, D., & Pal, K. (2021). The Internet of Things in Geriatric Healthcare. Journal of Healthcare Engineering, 2021, 1–16. https://doi.org/10.1155/2021/6611366
Saka, S., & Das, S. (2023). SAFEGUARDING IN THE INTERNET OF THINGS AGE: A COMPREHENSIVE REVIEW OF SECURITY AND PRIVACY RISKS FOR OLDER ADULTS. Innovation in Aging, 7(Supplement_1), 819–819. https://doi.org/10.1093/geroni/igad104.2642
Schweitzer, R., Schlögl, S., & Schweitzer, M. (2024). Technology-Supported Behavior Change—Applying Design Thinking to mHealth Application Development. European Journal of Investigation in Health, Psychology and Education, 14(3), 584–608. https://doi.org/10.3390/ejihpe14030039
Taylor, J., & Pagliari, C. (2018). Comprehensive scoping review of health research using social media data. BMJ Open, 8(12), e022931. https://doi.org/10.1136/bmjopen-2018-022931
Timon, C., Heffernan, E., Kilcullen, S., Hopper, L., Lee, H., Gallagher, P., Smeaton, A., Moran, K., Hussey, P., & Murphy, C. (2024). Developing Independent Living Support for Older Adults Using Internet of Things and AI-Based Systems: Co-Design Study. JMIR Aging, 7. https://doi.org/10.2196/54210
Tricco, A. C., Lillie, E., Zarin, W., O’Brien, K. K., Colquhoun, H., Levac, D., Moher, D., Peters, M. D. J., Horsley, T., Weeks, L., Hempel, S., Akl, E. A., Chang, C., McGowan, J., Stewart, L., Hartling, L., Aldcroft, A., Wilson, M. G., Garritty, C., … Straus, S. E. (2018). PRISMA Extension for Scoping Reviews (PRISMA-ScR): Checklist and Explanation. Annals of Internal Medicine, 169(7), 467–473. https://doi.org/10.7326/M18-0850
Wangmo, T., Lipps, M., Kressig, R., & Ienca, M. (2019). Ethical concerns with the use of intelligent assistive technology: findings from a qualitative study with professional stakeholders. BMC Medical Ethics, 20. https://doi.org/10.1186/s12910-019-0437-z
Downloads
Published
Issue
Section
License
Copyright (c) 2025 The Author(s)

This work is licensed under a Creative Commons Attribution 4.0 International License.






